BROOKHAVEN DIABETES AND PRIMARY CARE CLINIC
NPI 1275321754
Nurse Practitioner - Family in Brookhaven, MS
About Brookhaven Diabetes And Primary Care Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKHAVEN DIABETES AND PRIMARY CARE CLINIC (NPI 1275321754) is a healthcare organization registered as a family in Brookhaven, Mississippi and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through October 12, 2027 and lists Amy Katheryn Case, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brookhaven Diabetes And Primary Care Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Brookhaven Diabetes And Primary Care Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2332015
Brookhaven Diabetes & Primary Care Clinic · Brookhaven, MSFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brookhaven Diabetes And Primary Care Clinic's NPI number?
The NPI number for Brookhaven Diabetes And Primary Care Clinic is 1275321754. It was assigned to this organization in the NPPES registry on April 25, 2025. The provider is also known as Brookhaven Diabetes & Primary Care.
Where is Brookhaven Diabetes And Primary Care Clinic located?
Brookhaven Diabetes And Primary Care Clinic is located at 317 Jakes Trl NW, Brookhaven, MS 39601. The listed phone number is (601) 320-1246.
What is Brookhaven Diabetes And Primary Care Clinic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Brookhaven Diabetes And Primary Care Clinic enrolled in Medicare?
Yes. Brookhaven Diabetes And Primary Care Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brookhaven Diabetes And Primary Care Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Brookhaven Diabetes And Primary Care Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Brookhaven Diabetes And Primary Care Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2332015) is associated with this NPI, valid through October 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Brookhaven Diabetes And Primary Care Clinic accept?
Health plans from Molina Healthcare list Brookhaven Diabetes And Primary Care Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brookhaven Diabetes And Primary Care Clinic was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brookhaven Diabetes And Primary Care Clinic · NPI 1275321754
Family organization in Brookhaven, Mississippi. Organization record, active in the CMS NPPES registry since April 25, 2025.
## Identity
- **NPI:** 1275321754 (Entity type: Organization)
- **Enumerated:** April 25, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Brookhaven Diabetes & Primary Care (Other Name)
- **Organization subpart:** No
- **Authorized official:** Amy Case, OWNER
## Practice location
- **Address:** 317 JAKES TRL NW, Brookhaven, MS 39601-8632
- **Phone:** (601) 320-1246
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2026
- **Other identifiers:** Medicaid 200020478 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275321754) · Data from the CMS NPPES public registry.